Tristel Stella for simple cystoscope reprocessing
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Tristel Stella for simple
cystoscope reprocessing
Time for a change at the Decontaminating cystoscopes
Senior practice nurse Jacquie Fielding
Reading Urology Partnership explains, “We routinely perform
flexible cystoscopies, which are
endoscopies of the bladder via the
When the Reading Urology Partnership urethra. The cystoscopes used to
moved away from the Berkshire perform this procedure must be
cleaned and disinfected between uses.
Independent Hospital site and We have five consultants working here
into their own premises as part of and the number of cystoscopies we
perform varies but, for example, we
Berkshire Health Ltd, they needed have done eight today. The practice
a quick yet reliable method of only has two cystoscopes so we are
relying on them to be made ready for
decontaminating cystoscopes. Having re-use quickly.”
researched all the possibilities, they While the team was hospital-based,
opted for the convenience and rapid a large Lancer washer was used for
various endoscopes from a number
turnaround times afforded by the of departments, including the
Tristel Stella disinfection system. cystoscopes. The running time of the
machine was at least 40 minutes,
making the total turnaround time about
an hour. Berkshire Health Limited
looked into having a similar system
for the new premises, but not only was
there a large financial outlay it would
also have required the removal of
part of a wall. It is recommended that
such disinfector washers are situated
between a dirty room and a clean
room to maintain the integrity of the
disinfected item prior to surgery. Using
an offsite decontamination service
was another alternative. However,
this would have required the purchase
Tristel’s portable Stella disinfection system
with Pulse attachment and sporicidal Fuse of eight new cystoscopes. At a cost
for Instruments burstable sachet of around £15,000 each this simply
wasn’t viable.
The main features of Stella:
• Controlled cycle time and
process
• Reduces amount of
disinfectant needed per cycle
• Unique shape creating
protective environment
• Single-use of disinfectant in a
manual process
• Best practice for partially
immersible instruments
• Recording of all events
• Small, battery powered,
mobile device
• Easy set-up and low
maintenance
• Low capital investment
Stella is a revolution in Combined with a concave lid, this
guarantees that all inner surfaces of the The benefits of using Stella
instrument disinfection, compartment are also sterilised to prevent Pulse Disinfection System
a system developed with later contamination of the cystoscope. and Tristel chlorine dioxide
Stella is a battery operated mobile device based Fuse for Instruments
practicality in mind. that can be set up anywhere near a sink include:
or other drain reservoir. By detaching the
• Quick turnaround of
Introducing Stella Stella IQ control unit, the base and lid
instruments allows faster
Jacquie continues, “We were really can double-function as a sterile case for
patient throughput
lacking suitable alternatives, then transportation and short term storage.
one of our consultants saw the Tristel • Significant cost savings
Stella disinfection system at a British Jacquie remarks, “The instrument in comparison to a fully
Association of Urology Surgeons meeting remains in the Stella case until use. In my automated washer disinfector
and was bowled over by it. We were wary experience, the unit is much lighter and
• Safety and peace of mind for
initially as it seemed too good to be true easier to carry into the treatment room
doctors, nurses, infection
and there are so many rules about the than the plastic trays used in hospitals.”
control officers and patients
cleaning of cystoscopes, but having done
thorough research we are delighted that “When I joined the practice and saw the • Fast, safe and convenient
Stella meets the necessary criteria.” Stella in use, I was amazed,” adds Carol decontamination of solid state
Williams, practice nurse. “I was used to catheters
The Reading Urology Partnership started these big, industrial washers and the • Recommended by catheter
using Stella in October 2011. The system Stella was so small and easy to use. It manufacturers, including
is designed for the disinfection of seemed to be so perfectly designed.” for use with high resolution
small and medium-sized heat-sensitive manometry catheters
instruments. It combines the simplicity of In practice
manual soaking with the safety features Jacquie continues, “Stella lives up to our
and sophistication of an automated expectations. The cystoscope turnaround
washer-disinfector. Stella has a five times are very quick – just a wash by hand
litre capacity and its inner compartment and ten minutes in and out of the Stella
optimises the amount of disinfectant – so around 20 minutes in total. An audit
needed to cover the instrument. trail book is provided which includes a
The disinfectant fills the instrument sheet to be inserted in the patient notes.
compartment and a small volume A log can be printed regularly for practice
flows over the edges into the overflow use.”
compartment.
“Another advantage of Stella is that it Performing a service In conclusion
requires no maintenance and therefore Julia Rahman, practice manager, joins The team couldn’t believe that there
no maintenance contract,” adds Carol. the conversation, “With the Stella, we could be such a simple solution to their
“We’ve only once had a problem with are able to plan cystoscopies as part of needs. Jacquie concludes, “We were
the system. I phoned Tristel and they our clinics, and provide a better service amazed that no other urologists seemed
were incredibly helpful. The guy stayed to consultants and patients as a result. to be using it. Tristel put us in touch
on the phone until we’d managed to with a team in New Zealand who were
troubleshoot and solve the problem. Around 20% of cystoscopies are using Stella and they just raved about
He also followed up later to make sure unscheduled but even if the cystoscope it. Now, with six months use ourselves, I
everything was still ok.” isn’t yet prepared, it can be ready for can completely understand why.”
use in twenty minutes – a waiting time www.berkshire-health.co.uk
The team also finds it reassuring being that patients find perfectly acceptable. www.readingurology.com
responsible for their own cystoscope In some urgent cases, the sooner
cleaning rather than sharing with the cystoscopy can be performed,
other departments like they did the sooner life-saving treatment can For further details regarding Tristel’s
in the hospital. Jacquie explains, commence. Or the sooner the patient is Stella system, or to find out more about
“Not all endoscopes have the same reassured they have the all clear. any of Tristel’s other products, please
requirements and, unlike many others, contact:
cystoscopes must be kept sterile. In the The Stella is a really neat piece of kit
past we have had to cancel cystoscopies that does the job perfectly. It enables us Tristel Solutions Limited
when there were problems with to perform our service and to keep the Lynx Business Park, Fordham Road,
sterilising the scope (either not kept consultants happy.” Snailwell, Cambridgeshire, CB8 7NY
sterile or washer broke down). We’ve Tel: +44 (0)1638 721500
not been in that position since using the Fax: +44 (0)1638 721911
Stella.” Email: mail@tristel.com
Web: www.tristel.com
Tristel Solutions Ltd www.tristel.com April 2012
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